Investigating the effectiveness of antacids Aseel Samaro Introduction Heartburn indigestion is caused by acid from the stomach irritating the upper digestive tract. For those who suffer regularly, treatments are available to neutralise this acid. But are some remedies more effective than others The need of antacids The human stomach contains strong hydrochloric acid, with a pH of approximately 1. The role of this acid is to enable the digestion of proteins in the stomach and also to prevent many bacteria from surviving in the stomach. Sometimes the muscle leading from the oesophagus to the stomach can open and the acid moves up along the digestive tract. A burning sensation is then felt in the chest and throat as the acid irritates the lining of the oesophagus. This is called indigestion or heartburn. Describe what type of acid is found in the stomach and comment on its strength. Describe two reasons why we have acid in the stomach. Explain what heartburn is and what causes it. Describe what type of acid is found in the stomach and comment on its strength. hydrochloric acid; strong (pH 1) Describe two reasons why we have acid in the stomach. digestion of proteins; prevention of the survival of some bacteria Explain what heartburn is and what causes it. a burning sensation in the chest and throat; caused by stomach acid moving up the oesophagus Alkalis in action One of the main treatments for heartburn involves neutralising the acid from the stomach. Medicines that do this are called antacids. Antacid remedies contain substances, such as: calcium carbonate aluminium hydroxide sodium hydrogencarbonate (baking soda). These substances neutralise acids, as alkalis do. However, they do not dissolve in water, as alkalis do, and are known as bases. Bases react with acids in a neutralisation reaction: acid + base → salt + water Because the both salt and water are neutral, antacids reduce the acidity of the stomach acid. List some of the main ingredients found in heartburn remedies. Explain how antacids reduce the acidity of stomach acid. Suggest the effect of antacid remedies on the pH of stomach acid. List some of the main ingredients found in heartburn remedies. Calcium carbonate; magnesium hydroxide Explain how antacids reduce the acidity of stomach acid. An alkali (or base) neutralises the stomach acid; making the solution less acidic Suggest the effect of antacid remedies on the pH of stomach acid. Increase the pH Which remedy? A group of students wanted to compare the effectiveness of different commercial antacid remedies. They first added universal indicator to a beaker of hydrochloric acid to check that it was a strong acid (pH 1). They added the recommended dose of each antacid to the acid. The students observed any colour change and noted how long any change took. Explain why it was important to start with acid of pH 1. Describe which remedy is the most effective. Explain your answer as fully as possible. Another student suggests that the experiment is repeated using crushed ‘Acid-ban’ tablets, rather than whole tablets. Suggest how this will affect the time taken to change the pH. Explain why it was important to start with acid of pH 1. stomach acid is approximately pH 1–2 Describe which remedy is the most effective. Explain your answer as fully as possible. ‘Acid-ease’ liquid; it changes the pH from 1 to 6; takes only 3 minutes Another student suggests that the experiment is repeated using crushed ‘Acidban’ tablets, rather than whole tablets. Suggest how this will affect the time taken to change the pH. The time may decrease; because of increased surface area of ‘Acid-ban’ tablets Did you know? Even before the chemistry was understood, acid-neutralising remedies were recommended for heartburn. One remedy was to chew limestone rock. We now know that limestone contains the base calcium carbonate